Individual
DAVID JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
647 DAY BREAK DR, GREENWOOD, IN 46143-7379
(317) 385-3361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003604A
IN
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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